Two Previous Cesarean and Vaginal Birth Before and After Starting Training and Protocols
Trial of Labor After Two CS Before and After Training a Protocol Introduction
G. d'Annunzio University
2,016 participants
Jan 1, 2016
OBSERVATIONAL
Conditions
Summary
In 2015 ObGyn Dept of Santo Spirito Hospital in Pescara (Italy) started protocol for previous CS vaginal birth. In 2021 was started a protocol for training on obstetric emergencies and protocol on two previous cesarean was endorsed. Patients attending birth in Pescara with two previous from january 2016 to December 2020, and from january 2021 to december 2025 were collected. A different counseling approach was adopted from 2021. Women's acceptance of trial of labor and maternal and fetal outcomes were collected.
Eligibility
Inclusion Criteria8
- pregnant women
- pregnancy above 34 weeks' gestation
- cephalic presentation of the fetus
- singleton and twins
- diamniotic twins
- previous CS
- more than 18 months from last CS
- no other indication to CS
Exclusion Criteria6
- pregnancy below 34 weeks' gestation
- breech baby
- triplets or high order multiple pregnancies
- more than 2 previous CS
- less than 18 months from last CS
- precence of other indications to CS (i.e. maternal diseases, placenta previa, etc.)
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Interventions
In 2021 started a new delivery protocol enhancing the opportunity of having a trial of labor in women with a history of two previous CS. Rate of acceptance, rate of successful vaginal birth, maternal and fetal outcomes were evaluated
Locations(2)
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NCT07258459